Modupeola Brisibe

NPI #1376993519 in Marietta, Georgia

Provider Information

NPI Number
1376993519
Entity Type
Individual
Name
Modupeola Brisibe
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jun 19, 2016
Last Updated
Apr 17, 2025

Practice Location

Address
280 COBB PKWY S STE 60
State
Georgia
ZIP Code
30060-6531
Phone
(888) 663-6331

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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